How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Facility | None | $0.38 | $0.38 | $0.38 |
Aetna Setting Professional Modifier None Typical Low $0.38 Median $0.38 Typical High $0.38 | Professional | None | $0.38 | $0.38 | $0.38 |
Asuris Northwest Health Setting Facility Modifier None Typical Low $0.31 Median $0.41 Typical High $0.66 | Facility | None | $0.31 | $0.41 | $0.66 |
Asuris Northwest Health Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.49 | Professional | None | $0.33 | $0.33 | $0.49 |
Cigna Setting Professional Modifier None Typical Low $0.24 Median $0.24 Typical High $0.24 | Professional | None | $0.24 | $0.24 | $0.24 |
Pacific Source Setting Facility Modifier None Typical Low $0.38 Median $0.38 Typical High $0.47 | Facility | None | $0.38 | $0.38 | $0.47 |
Premera BCBS Setting Facility Modifier None Typical Low $0.40 Median $0.55 Typical High $0.87 | Facility | None | $0.40 | $0.55 | $0.87 |
Premera BCBS Setting Professional Modifier None Typical Low $0.37 Median $0.37 Typical High $0.37 | Professional | None | $0.37 | $0.37 | $0.37 |
Regence BlueShield Setting Facility Modifier None Typical Low $0.46 Median $0.51 Typical High $0.72 | Facility | None | $0.46 | $0.51 | $0.72 |
Regence BlueShield Setting Professional Modifier None Typical Low $0.33 Median $0.33 Typical High $0.33 | Professional | None | $0.33 | $0.33 | $0.33 |
United Setting Professional Modifier None Typical Low $0.44 Median $0.78 Typical High $1.20 | Professional | None | $0.44 | $0.78 | $1.20 |
Wellpoint Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.59 | Professional | None | $0.34 | $0.34 | $0.59 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $0.06 Median $0.06 Typical High $0.06 | Professional | 55 · Aftercare only | $0.06 | $0.06 | $0.06 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $0.04 Median $0.04 Typical High $0.04 | Professional | 56 · Pre-op care only | $0.04 | $0.04 | $0.04 |
Where Washington sits
The same service costs 3.1 times more in Florida than in Alabama. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Washington· 41st of 51
$0.37
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.